What you can expect During the procedure Typically, you'll begin feminizing hormone therapy by taking the diuretic spironolactone Aldactone at doses of to milligrams daily. It is possible to buy hormone preparations for trans women via the Internet. This should be done according to age-appropriate recommendations. This is achieved with anti-androgens such as cyproterone acetate. Results During your first year of feminizing hormone therapy, you'll need to see your doctor approximately every three months for checkups, as well as anytime you make changes to your hormone regimen. Types of hormones For hormone treatment of transgender women, two types are used:
Redistribution of body fat. Here you can read more about counseling for transgender patients. The maximum effect will occur within two to five years. A review of your personal and family medical history A physical exam, including an assessment of your external reproductive organs Lab tests measuring your lipids, blood sugar, blood count, liver enzymes, electrolytes and the hormone prolactin A review of your immunizations Age- and sex-appropriate screenings Identification and management of tobacco use, drug abuse, alcohol abuse, HIV and other sexually transmitted infections Discussion about sperm freezing sperm cryopreservation Discussion about use of potentially harmful treatment approaches, such as unprescribed hormones, industrial-strength silicone injections or self-castration You might also need a mental health evaluation by a provider with expertise in transgender health. Estrogen can be taken in a variety of methods, including as a pill, by injection or in skin preparations, such as a cream, gel, spray or patch. The maximum effect will occur within three to six months. Hormone treatment is a major therapy. Are you considering gender-change surgery sexual reassignment surgery? What does a hormone treatment do? Softer, less oily skin. This is achieved with anti-androgens such as cyproterone acetate. A number of male gender characteristics gradually disappear into the background. Progesterone that's been reduced to tiny particles micronized , which might improve breast development Finasteride Propecia or topical minoxidil Rogaine or both for people prone to male-pattern baldness After the procedure Feminizing hormone therapy will begin producing changes in your body within weeks to months. How you prepare Before starting feminizing hormone therapy, your doctor will evaluate your health to rule out or address any medical conditions that might affect or contraindicate treatment. This includes standard calcium and vitamin D supplementation, along with bone density assessment according to the female age-appropriate recommendations. This blocks male sex hormone androgen receptors and can suppress testosterone production. For trans-gender men, it is exactly the opposite. After surgery, only estrogens are necessary. Your gender identity and dysphoria The impact of your gender identity at work, school, home and social environments, including issues related to discrimination, relationship abuse and minority stress Mood or other mental health concerns Sexual health concerns Risk-taking behaviors, including substance use and use of nonmedical-grade silicone injections or unapproved hormone therapy or supplements Protective factors such as social support from family, friends and peers Your goals, risks and expectations of treatment and your future plans for your care Adolescents younger than age 18, accompanied by their parents or guardians, also should see doctors and mental health providers with expertise in pediatric transgender health to discuss the risks of hormone therapy, as well as the effects and possible complications of gender transition. If you want to have biological children, talk to your doctor about freezing your sperm sperm cryopreservation before beginning feminizing hormone therapy. This eliminates the source of testosterone production. What you can expect During the procedure Typically, you'll begin feminizing hormone therapy by taking the diuretic spironolactone Aldactone at doses of to milligrams daily. This will begin one to three months after treatment. Type 2 diabetes Cardiovascular disease, when at least two other cardiovascular risk factors are present Excessive prolactin in your blood hyperprolactinemia or a condition in which a noncancerous tumor adenoma of the pituitary gland in your brain overproduces the hormone prolactin prolactinoma Current evidence indicates that there is no increased risk of breast cancer. To this is added estrogens, which are provided both in tablet form and in patches.
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